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Judy Jackson
Licensed Practical Nurse in Portland, Oregon
NPI 1407569718

Judy Jackson is a Licensed Practical Nurse based in Portland, OR. Judy Jackson practices in Portland, OR. The NPI Number for Judy Jackson is 1407569718 and holds a License No. 201408689LPN (Oregon).

The current practice location address for Judy Jackson is 745 Ne 122Nd Ave, Portland, OR and can be reached out via phone at 503-252-0241.

Location: 745 Ne 122Nd Ave, Portland, OR, 97230-2001
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Provider Profile Details
NPI Number
1407569718
Provider Name
Judy Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
745 Ne 122Nd Ave, Portland, OR, 97230-2001
Phone Number
503-252-0241
Fax Number
Provider Enumeration Date
01/02/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000 01 OR NONE OBTAINED
institution
Provider Business Practice Location Address Details
Address
745 Ne 122Nd Ave
City
State
Zip
97230-2001
Phone Number
503-252-0241
Fax Number
person
Provider Business Mailing Address Details
Address
745 Ne 122Nd Ave
City
State
Zip
97230-2001
Phone Number
503-252-0241
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
201408689LPN (Oregon)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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